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Organization

COLONIAL HOUSE OF CRYSTAL CITY, LLC

Active
Other names
Colonial House of Crystal City
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ALYSHA LYNN SAUER (MEMBER)
(636) 933-4911
Entity
Organization

Contact information

Practice address
26 MISSISSIPPI AVE, CRYSTAL CITY, MO 63019-1817
(636) 937-1000
(636) 937-1003
Mailing address
115 WEST AVE, FESTUS, MO 63028-1733
(636) 933-4911
(636) 933-9550

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
03/30/2009
Last updated
03/30/2009
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